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General NPI Number Information
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NPI Number | 1619510229
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Entity Type | Individual
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Provider Name | RACHAEL E WHITE OTD, OTR/L, ATC, LAT
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Gender | Female
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Dates
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Enumeration Date | 10/26/2019
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 2370 BRUCE B DOWNS BLVD STE 301
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-9215
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Country | US
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Telephone | 813-973-1033
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Fax |
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Provider Business Mailing Address
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Address Line | 15205 PLANTATION OAKS DR APT 5
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City | TAMPA
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State | FL
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Zip | 33647-2176
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Country | US
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Telephone | 813-375-1668
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AL5793
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT25665
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License Number State | FL
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